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Miami Healthcare Fraud Lawyer

A conservative estimate of healthcare fraud in the U.S. is around $68 billion annually, or about three percent of the nation’s total healthcare spending. The actual cost of healthcare fraud may be as high $230 billion, over 10% of the country’s yearly healthcare expenditures. Healthcare fraud is a crime under federal and Florida laws, and it is one that costs society as a whole, as it results in everyone paying higher costs for healthcare and health insurance. At both the federal and state levels, laws are in place that encourage employees to blow the whistle on fraudulent and corrupt corporate practices. These laws not only protect whistleblowers from retaliation, but in many cases they reward those who come forward with financial incentives or a share in the funds recovered.

Healthcare and health insurance executives are in a unique position to identify fraud that is occurring on a departmentwide or companywide scale. The Miami healthcare fraud lawyers at Freidin Brown, P.A. represent executives and employees who blow the whistle on corporate healthcare fraud in Florida. We’ll represent you in civil lawsuits and help you recover compensation for your service under laws such as the False Claims Act. Call our office at 888-677-7764 for a free and confidential consultation to discuss the possibility of blowing the whistle on healthcare fraud and aiding in the recovery of ill-gotten gains.

Medicare and Medicaid Fraud

The Centers for Medicare and Medicaid Services (CMS) are frequent targets of healthcare fraud and one of the biggest targets of fraud against the government overall. Healthcare providers bill Medicare and Medicaid for reimbursement for services provided to patients covered by these government programs. This process provides many opportunities for fraudulent billing practices. Some of the most common types of fraud perpetrated on Medicare and Medicaid are:

  • Billing for services not rendered
  • Billing for more expensive services than were provided (upcoding)
  • Performing services to generate reimbursement rather than out of medical necessity
  • Miscoding non-covered services as covered
  • Billing each part of a service separately rather than as one whole service (unbundling)
  • Providing or accepting patient referrals in exchange for money (kickbacks)
  • Making bulk purchases of defective or inferior products for Medicare patients

Contact Our Experienced Miami Healthcare Fraud Lawyers Today

If you are an executive at Humana, Aetna or other healthcare corporations who has spotted billing or coding errors on a large scale or other fraudulent practices in Florida, call Freidin Brown, P.A. at 888-677-7764 for a no-cost, confidential consultation with our Miami healthcare fraud lawyers. We’ll help you understand your options and assist you in blowing the whistle while protecting your rights and seeing you are fairly compensated for your courageous act.

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